Robert E Brolin1, Ronald P Cody. 1. Department of Surgery, University of Pittsburgh Medical School, Pittsburgh, PA, USA. rbrolin@njbariatricspc.com
Abstract
OBJECTIVE: To present a technique of revisional RY gastric bypass in patients with unsatisfactory weight loss after primary gastric bariatric operations. METHODS: The Roux limb was lengthened by creating a 75-100 cm common channel below the enteroenterostomy with concomitant revision of the gastrojejunostomy. RESULTS: Fifty-four patients had this distal modification of RYGB including 47 patients who had primary gastric bypass and 7 patients who failed pure restrictive operations. Mean excess weight loss was 47.9% in patients followed for > or = 1 year. CONCLUSIONS: This distal modification of RYGB resulted in satisfactory weight loss for nearly half of the 54 patients in this series.
OBJECTIVE: To present a technique of revisional RY gastric bypass in patients with unsatisfactory weight loss after primary gastric bariatric operations. METHODS: The Roux limb was lengthened by creating a 75-100 cm common channel below the enteroenterostomy with concomitant revision of the gastrojejunostomy. RESULTS: Fifty-four patients had this distal modification of RYGB including 47 patients who had primary gastric bypass and 7 patients who failed pure restrictive operations. Mean excess weight loss was 47.9% in patients followed for > or = 1 year. CONCLUSIONS: This distal modification of RYGB resulted in satisfactory weight loss for nearly half of the 54 patients in this series.
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